Liabilities / Assets
90th percentile
Higher debt load relative to assets than 90% of similar nonprofits.
EIN 22-3240227 • 501(c)3 • Pittsford, NY
Profile
To provide a caring, compassionate
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
90th percentile
Higher debt load relative to assets than 90% of similar nonprofits.
Liabilities / Revenue
72nd percentile
Higher debt load relative to revenue than 72% of similar nonprofits.
Net Margin
14th percentile
Higher net margin than 14% of similar nonprofits.
Top Officer Pay
84th percentile
Higher top officer pay than 84% of similar nonprofits.
Top officer pay equals 12.6% of source-year revenue.
Asset Growth
27th percentile
Faster asset growth than 27% of similar nonprofits.
Revenue Growth
19th percentile
Faster revenue growth than 19% of similar nonprofits.
Assets
Down$6,049,620
Down $280,465 (-4.4%) from 2023
Liabilities
Up$7,878,434
Up $2,514,761 (+47%) from 2023
Net Assets
Down-$1,828,814
Down $2,795,226 (-289%) from 2023
Revenue
Down$12,640,288
Down $1,193,560 (-8.6%) from 2023
Expenses
Up$16,784,518
Up $671,141 (+4.2%) from 2023
Net Income
Down-$4,144,230
Down $1,864,701 (-82%) from 2023
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.
To provide a caring, compassionate and quality-focused living environment in a 122 bed skilled-nursing facility.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $3,877,794 | $3,614,873 | ▼ $262,921 |
| Cash and Non-Interest-Bearing Accounts | $659,091 | $1,196,250 | ▲ $537,159 |
| Accounts Receivable | $1,298,011 | $988,553 | ▼ $309,458 |
| Prepaid Expenses and Deferred Charges | $149,481 | $126,124 | ▼ $23,357 |
| Total Assets | $6,582,771 | $6,232,927 | ▼ $349,844 |
| Other Assets Total | $598,394 | $307,127 | ▼ $291,267 |
| Liabilities | |||
| Other Liabilities | $2,557,764 | $3,397,068 | ▲ $839,304 |
| Accounts Payable and Accrued Expenses | $902,143 | $1,062,514 | ▲ $160,371 |
| Deferred Revenue | $85,796 | - | - |
| Total Liabilities | $3,545,703 | $4,459,582 | ▲ $913,879 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $3,037,068 | $1,773,345 | ▼ $1,263,723 |
| Total Net Assets Fund Balance | $3,037,068 | $1,773,345 | ▼ $1,263,723 |
| Total Liabilities and Net Assets / Fund Balance | $6,582,771 | $6,232,927 | ▼ $349,844 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $2,433,352 | $9,838,664 | $12,272,016 |
| Equipment | $895,863 | $2,856,828 | $3,752,691 |
| Other Land Buildings | $35,658 | $745,012 | $780,670 |
| Land | $250,000 | - | $250,000 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Sam Busari | Administrator | FT | $123,934 | - | $123,934 |
| William J Hall Md | Board Member | - | - | $185 | $185 |
| Name | Title |
|---|---|
| Michael P Riordan | Board Chair |
| Steven I Goldstein | President |
| Elizabeth G Garrett | Board Member |
| Gerald Van Strydonk | Board Member |
| James Moore | Board Member |
| Robbie Magee | Board Member |
| Robert Latella | Board Member |
| Robert Mccann Md | Board Member |
| Valerie C Benjamin | Board Member |
| Carrie Fuller Spencer | Associate VP & CFO |
| Adam Anolik | Former |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Medline Industries INC | Supplies | PO BOX 382075, Pittsburgh, PA 15251 | $388,412 |
| Sysco Food Services | Food | PO BOX 80, Warners, NY 13164 | $376,340 |
| Reliant Staffing Systems | Temp Services | PO BOX 412058, Boston, MA 02241 | $197,610 |
| Medical Staffing Network | Temp Services | 95 CANAL LANDING BLVD 11, Rochester, NY 14626 | $152,751 |
| Aid To Hospitals INC | Linen Service | 45 MCKEE RD, Rochester, NY 14611 | $147,596 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $10,876,218 |
| Other Expenses | $4,698,767 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $8,095,203 | $250,367 | - | $8,345,570 |
| Other Employee Benefits | $1,752,479 | $54,277 | - | $1,806,756 |
| All Other Expenses | $918,199 | $52,704 | - | $970,903 |
| Payroll Taxes | $619,283 | $19,153 | - | $638,436 |
| Depreciation Depletion | $450,018 | $50,002 | - | $500,020 |
| Other Expenses | $451,850 | $45,202 | - | $451,850 |
| Office Expenses | $333,280 | $37,031 | - | $370,311 |
| Occupancy | $194,609 | $21,623 | - | $216,232 |
| Pension Plan Contributions | $82,967 | $2,489 | - | $85,456 |
| Insurance | $45,466 | $5,052 | - | $50,518 |
| Fees for Services Accounting | - | $27,203 | - | $27,203 |
| Fees for Services Legal | - | $16,103 | - | $16,103 |
| Advertising | - | $9,470 | - | $9,470 |
| Conferences and Meetings | $3,173 | $353 | - | $3,526 |
| Interest | - | $1,475 | - | $1,475 |
| Fees for Services Lobbying | - | $689 | - | $689 |
| Total Functional Expenses | $14,818,947 | $756,038 | $0 | $15,574,985 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $15,574,985 |
| Total Expenses per Audited Statements | $15,574,985 |
| Total Expenses per Form 990 | $15,574,985 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Due to Related Parties | $1,545,385 |
| ACCRUED WORKERS' COMPENSATION - LONG TERM | $978,974 |
| Estimated Third Party Settlements, Net | $681,414 |
| ACCRUED WORKERS' COMPENSATION - SHORT TERM | $158,545 |
| Resident Accounts Held in Trust | $32,750 |
“The sole member of the highlands living center, inc. Is strong partners health system, inc. ("sphs"). Sphs, acting through its board of directors, has the authority to elect the governing body of hlc, and certain decisions of the hlc board are subject to the approval of the sphs board. Such decisions include appointment of the hlc president and ceo, amendment of the certificate of incorporation and bylaws, approval of extraordinary corporate actions such as merger or dissolution, and approval of capital and operating budgets, strategic plans, and incurrence of certain debt.”
“The sole member of the highlands living center, inc. Is strong partners health system, inc. ("sphs"). Sphs, acting through its board of directors, has the authority to elect the governing body of hlc, and certain decisions of the hlc board are subject to the approval of the sphs board. Such decisions include appointment of the hlc president and ceo, amendment of the certificate of incorporation and bylaws, approval of extraordinary corporate actions such as merger or dissolution, and approval of capital and operating budgets, strategic plans, and incurrence of certain debt.”
“The sole member of the highlands living center, inc. Is strong partners health system, inc. ("sphs"). Sphs, acting through its board of directors, has the authority to elect the governing body of hlc, and certain decisions of the hlc board are subject to the approval of the sphs board. Such decisions include appointment of the hlc president and ceo, amendment of the certificate of incorporation and bylaws, approval of extraordinary corporate actions such as merger or dissolution, and approval of capital and operating budgets, strategic plans, and incurrence of certain debt.”
“Hlc's form 990 is prepared by independent accountants and provided to senior management for review prior to filing. The form 990 was provided to hlc's board of directors prior to filing.”
“Directors, committee members, officers and key employees are required to disclose a conflict of interest: (a) prior to voting on or otherwise discharging their duties with respect to any matter involving the conflict which comes before the board or any committee; (b) prior to entering into any contract or transaction involving the conflict; (c) as soon as possible after the director, committee member or officer learns of the conflict; and (d) on an annual conflict of interest disclosure form. The form is distributed annually and requires disclosure of all conflicts of interest, including specific information concerning the terms of any contract or transaction with hlc that involves a potential conflict of interest for the individual. The forms are reviewed by the board chair and legal counsel, and conflicts disclosed on the forms or on an ad hoc basis are reviewed by a board committee. The committee considers the material facts concerning any proposed contract or transaction, including the process by which the decision was made to approve or recommend entering into the arrangement on the terms proposed, and approves such contracts or transactions only if the terms are fair and reasonable to hlc and the arrangements are consistent with the best interest of hlc.”
“Written self-evaluations and performance evaluations for hlc officers and the administrator annually are reviewed by the committee on compliance and compensation of the university of rochester medical center board. The committee has available evaluations from the ceo of urmc health system for the officers, and from hlc's ceo for the administrator. The committee reviews and approves total compensation for officers and the administrator and considers, in addition to the evaluations, the scope of the individual's job responsibilities, previous compensation and comparable compensation paid to people with similar responsibilities at comparable institutions. The comparable information is provided by an independent consultant and is based on local, regional and national compensation surveys.”
“Part vi-c line 19 hlc's form 1023 and form 990 are available upon request. Hlc's governing documents, conflict of interest policy and audited financial statements are not routinely made available to the public.”
“Transfers from the university of rochester 1,973,596.”
“No change from prior year.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 902143 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1062514 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1298011 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 988553 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE A CARING, COMPASSIONATE AND QUALITY-FOCUSED LIVING ENVIRONMENT IN A 122 BED SKILLED-NURSING FACILITY. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 9470 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 9470 |
| IRS990/AllOtherContributionsAmt | 0 | 8682 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 52704 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 918199 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 970903 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | ELIZABETH NESSLE |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5856416324 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 500 HAHNEMANN TRAIL |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | PITTSFORD |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 14534 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 659091 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1196250 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 353 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 3173 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 3526 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 388412 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 376340 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 197610 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 152751 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 147596 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 382075 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 80 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 412058 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 95 CANAL LANDING BLVD 11 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 45 MCKEE RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | PITTSBURGH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | WARNERS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | BOSTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | ROCHESTER |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | ROCHESTER |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 15251 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 13164 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 02241 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 14626 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 14611 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | MEDLINE INDUSTRIES INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | SYSCO FOOD SERVICES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | RELIANT STAFFING SYSTEMS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | MEDICAL STAFFING NETWORK |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | AID TO HOSPITALS INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | SUPPLIES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | FOOD |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | TEMP SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | TEMP SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | LINEN SERVICE |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 11561 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 4698767 |
| IRS990/CYOtherRevenueAmt | 0 | 100021 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 12226084 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -3237319 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 10876218 |
| IRS990/CYTotalExpensesAmt | 0 | 15574985 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 12337666 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 85796 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 50002 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 450018 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 500020 |
| IRS990/Desc | 0 | OPERATE A 122 BED SKILLED-NURSING FACILITY AT 87.14% OCCUPANCY WITH 38,802 NUMBER OF DAYS SERVED. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 303 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 14818947 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 27203 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 27203 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 16103 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 16103 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 689 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 689 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 70.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 63.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 63.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 185 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 59743 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 209673 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 90259 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 159345 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | ELIZABETH G GARRETT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | WILLIAM J HALL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ROBERT LATELLA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ROBBIE MAGEE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | GERALD VAN STRYDONK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JAMES MOORE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ROBERT MCCANN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | VALERIE C BENJAMIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MICHAEL P RIORDAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | STEVEN I GOLDSTEIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | CARRIE FULLER SPENCER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | SAM BUSARI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | ADAM ANOLIK |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 123934 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 498470 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 3306548 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 518856 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 790685 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | ASSOCIATE VP & CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | ADMINISTRATOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | FORMER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1997 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolAndSepBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GovernmentGrantsAmt | 0 | 2879 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 12337666 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 5052 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 45466 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 50518 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 1475 |
| IRS990/InterestGrp/TotalAmt | 0 | 1475 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 16 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 13440504 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 3877794 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 3614873 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 17055377 |
| IRS990/LegalDomicileStateCd | 0 | NY |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO PROVIDE A CARING, COMPASSIONATE AND QUALITY-FOCUSED LIVING ENVIRONMENT IN A 122 BED SKILLED-NURSING FACILITY. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
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| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 1773345 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 3037068 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 1773345 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 21623 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 194609 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 216232 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 37031 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 333280 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 370311 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 598394 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 307127 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 1973596 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 54277 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1752479 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1806756 |
| IRS990/OtherExpensesGrp/Desc | 0 | NON-MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | CONTRACT SERVICES |
| IRS990/OtherExpensesGrp/Desc | 2 | MEDICAL CARE ITEMS |
| IRS990/OtherExpensesGrp/Desc | 3 | TEMP AGENCY |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 99353 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 63492 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 45202 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 894175 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 571429 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 406816 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 451850 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 993528 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 634921 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 452018 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 451850 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 2557764 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 3397068 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | OTHER REVENUE |
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| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 100021 |
| IRS990/OtherRevenueTotalAmt | 0 | 100021 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 250367 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 8095203 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 8345570 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 19153 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 619283 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 638436 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 2489 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 82967 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 85456 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 149481 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 126124 |
| IRS990/PrincipalOfficerNm | 0 | CARRIE FULLER-SPENCER |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | RESIDENT SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 12226084 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 12226084 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 2160120 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 5637415 |
| IRS990/PYOtherRevenueAmt | 0 | 42425 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 11148843 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -1390375 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 9104348 |
| IRS990/PYTotalExpensesAmt | 0 | 14741763 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 13351388 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -3237319 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 12326105 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 11561 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 2160120 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 2684748 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 5845 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 6546 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 4868820 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 39765 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 39765 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 12226084 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 11148843 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 12217297 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 13138886 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 13280235 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 62011345 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 39765 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 39765 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00060 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00120 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 100021 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 42425 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 92711 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 18878 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 385 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 254420 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.99560 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.99660 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 66880165 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 12237645 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 13308963 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 14902045 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 13144731 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 13286781 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 66880165 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 12337666 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 13351388 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 14994756 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 13163609 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 13326931 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 67174350 |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleC/DirectContactLegislatorsInd | 0 | 0 |
| IRS990ScheduleC/GrantsOtherOrganizationsAmt | 0 | 689 |
| IRS990ScheduleC/GrantsOtherOrganizationsInd | 0 | 1 |
| IRS990ScheduleC/MailingsMembersInd | 0 | 0 |
| IRS990ScheduleC/MediaAdvertisementsInd | 0 | 0 |
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